Individual
CHANDRA LESHELL GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC-I
Contact information
Practice address
4021 PERCIVAL RD, APT 621, COLUMBIA, SC 29229-8363
(704) 808-1833
Mailing address
4021 PERCIVAL RD, APT 621, COLUMBIA, SC 29229-8363
(704) 808-1833
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5861
SC
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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